Glucose Assay Flashcards
What are possible sample types for glucose assays?
- food
- Blood
- Urine
- CSF
Why should food be used to estimate glucose?
In food analysis to determine the glucose composition of foods, e.g. health risks
Why would we estimate glucose in blood?
Used as a marker in blood to diagnose patients with diabetes
Why would we examine glucose estimation of urine?
Also used as a marker in urine to diagnose patients with diabetes
Why would we estimate glucose in CSF?
Analysis of the CSF provides invaluable insight into pathogenic derangements of the nervous system.
Lowered CSF glucose (hypoglycorrhachia) is seen in meningitis
What are the 2 general methods of glucose assays?
Non-enzymatic assays and Enzymatics
Differentiate enzymatic and non-enzymatic methods of glucose assays?
The non-enzymatic assay indicates the presence of all reducing sugars, whereas the enzymatic assay is specific for glucose.
What substances may interfere with non-enzymatic assays?
Glutathione and vitamin C are 2 reducing substances that can interfere with non-enzymatic assays
Give examples of Non-enzymatic assays
- Benedict’s test
- Fehling’s test
- Barfoed’s test
- Dinitrosalicyclic acid
Give examples of enzymatic assays
- Hexokinase method
- Glucose dehydrogenase method
- Glucose oxidase/peroxidase
What is the reaction scheme of the Hexokinase glucose assay?
- Glucose+ ATP+ HK —> ADP + G6P
- G6P + NAD +G6PDH —> 6 P-gluconolactone + NADH + H
What is the reaction scheme of oh glucose dehydrogenase (DH)?
Glucose+ NAD+ GDH —> gluconolactone + NADH + H
What is the reaction scheme of glucose oxidase/peroxidase( GOD/POD)?
- Glucose + O2 + H2O + GOD —> Gluconic acid + H2O2
- H2O2 + POD —> H2O + oxidized chromogen
What are the characteristics of Enzymatic assays?
- specific for glucose.
- more time consuming
- More costly
- Requires more diligence in handling
What is the theory behind the Glucose oxidase/ peroxidase method for glucose estimation?
B-D-glucose + H2O + O2 —> (glucose oxidase) —> D-gluconic acid + H2O2
Peroxide converts DH(colorless) POD to oxidized chromogen/ D (brown)
The intensity of colour produced (measured spectrophotometerically at 450 nm) is proportional to the amount of glucose